雌激素受体α基因变异与心血管疾病之间的关联
Amanda M Shearman1, L Adrienne Cupples, Serkalem Demissie
1Center for Cancer Research, Massachusetts Institute of Technology, Cambridge, Mass 02139, USA. shearman@mit.edu
JAMA
|November 6, 2003
概括
常见的ESR1 c.454-397CC基因型显著增加了心肌梗塞 (MI) 和主要动脉样硬化心血管疾病 (CVD) 的风险. 这种遗传变异突显了雌激素受体在心血管疾病易感性中的作用,特别是在男性中.
科学领域:
- 遗传学 是一个遗传学.
- 心血管医学 心血管医学
- 内分泌学 在内分泌学.
背景情况:
- 雌激素受体α (ESR1) 在心血管疾病 (CVD) 风险因素中起作用.
- 对于ESR1基因变异对心血管疾病风险的影响,人们的了解有限.
研究的目的:
- 调查ESR1 c.454-397T>C多态和心血管疾病 (CVD) 风险之间的关联.
主要方法:
- 这是一项针对1739名来自弗雷明汉心脏研究后代队伍的前性研究.
- 从1971年到1998年的后续行动.
- 动脉样硬化心血管疾病事件的分析,包括心肌梗塞 (MI).
主要成果:
- ESR1 c.454-397CC基因型与主要动脉样硬化心血管疾病 (OR,2.0;P=.004) 有意义地相关.
- 具有CC基因型的个体患心脏病的几率增加了3.0倍 (P<.001).
- 关联在男性中仍然很重要.
结论:
- ESR1 c.454-397CC基因型与显著增加心脏病发作风险有关.
- 雌激素受体变异对心血管疾病易感性很重要,特别是在男性中.
- 需要进一步的研究来确定因果关系,并探索女性激素治疗的影响.
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